Individual
BREANNA NICOLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCAS-A
Contact information
Practice address
522 N MAIN ST, WALNUT COVE, NC 27052-9247
(866) 489-2686
Mailing address
522 N MAIN ST, WALNUT COVE, NC 27052-9247
(866) 489-2686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30986
NC
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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